Institutional development
Institutional frameworks govern people's access to health systems. Significant development resources have been focused on trying to change the way organisations operate. However, there is limited success without change to the institutional framework, which governs the way organisations behave, their relationships and accountability mechanisms. Similarly, without empowering poor people to have agency there will be limited change in their ability to access services.
Institutional development includes institutional reform and organisational development. It is about changing the formal and informal rules of the game, which govern the relationships between policy-makers (the enablers), service providers (the responders) and poor people, both as consumers of services and as citizens with voices.
- Tough choices: investing in health for development
- This report is a synthesis of country experiences from three years of work, following the 2001 report of the Commission on Macroeconomics and Health (CMH). The report identifies the main challenges to improving health investment planning and considers the experiences of 11 countries and one sub-regional initiative.
Recommended readings
- World Development Report 2004: making services work for poor people
- ( World Development Report, World Bank , 2003)
- Recommended reading
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This issue of the WDR focuses on policies for improving the access of poor people to affordable, better quality services in health, education, water, sanitation, and electricity.
The report focuses ...
- Promoting institutional and organisational development
- ( Department for International Development, UK , 2003)
- This paper from the United Kingdom’s Department for International Development (DFID) argues that development interventions are more likely to succeed if they promote improvements at the wider level of...
- The Voice-responsiveness framework: creating political space for the extreme poor
- ( Eldis Document Store , 2004)
- This paper from the Chars Livelihoods Programme (CLP) in Bangladesh argues that the very poor must be empowered to actively participate in political processes if they are to get the reforms and servic...
Latest Additions
- Targeting aid funds towards health services in Afghanistan
- ( S. Simmonds;F. Ferozuddin / Chatham House [Royal Institute of International Affairs], UK , 2008)
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How can aid funds best be spent in areas of high instability? This scoping study from the British Department for International Development (DFID) argues that development funds would have the m...
- Achieving improvements in Afghan health care
- ( Johns Hopkins Bloomberg School of Public Health , 2006)
- The Ministry of Public Health of the Islamic Republic of Afghanistan has adopted the Balanced Scorecard (BSC) for use as a tool to measure and manage performance in delivery of the Basic Package of He...
